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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Shared decision making and physical therapy: What, when, how, and why?

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  • 1Institute for Evidence-Based Healthcare, Bond University, Gold Coast, Australia.

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Shared decision making (SDM) enhances patient-centered care by involving patients in health choices. Despite its benefits, physical therapists report slow adoption, requiring multi-level strategies for wider implementation.

Keywords:
Patient satisfactionPatient-centred carePhysical therapyShared decision making

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Area of Science:

  • Health Sciences
  • Patient-Centered Care
  • Evidence-Based Practice

Background:

  • Shared decision making (SDM) is crucial for patient-centered care, translating evidence into practice.
  • SDM involves collaborative health decisions between patients and clinicians, considering options, risks, benefits, and patient values.
  • It empowers patients to be more active participants in their healthcare journey.

Purpose of the Study:

  • To define shared decision making (SDM) and its importance in healthcare.
  • To examine physical therapists' current use of and attitudes toward SDM.
  • To identify factors influencing SDM adoption and strategies for promoting its use.

Main Methods:

  • Literature review on the definition, importance, and elements of SDM.
  • Survey or analysis of physical therapists' current practices and perceptions of SDM.
  • Exploration of barriers and facilitators to SDM implementation in physical therapy.

Main Results:

  • Key SDM elements include problem identification, explaining options (benefits/harms), and eliciting patient values.
  • SDM improves patient-clinician communication, expectation accuracy, involvement, and satisfaction.
  • Physical therapists show enthusiasm for SDM, but practical uptake remains limited.

Conclusions:

  • Despite positive attitudes, the uptake of shared decision making (SDM) by physical therapists is slow.
  • Sustainable incorporation of SDM requires multi-level strategies and behavior change interventions.
  • Further research and targeted interventions are needed to promote widespread SDM in physical therapy practice.